| 3-D radiotherapy plan dose-volume histograms (77295) |
$7,383.28 |
$18,458.21 |
5.7× |
| Abdomen 2 views (74019) |
$363.89 |
$909.72 |
3.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,091.67 |
$2,729.18 |
2.9× |
| Angiography extremity bilateral rs&i (75716) |
$3,976.08 |
$9,940.20 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$3,588.26 |
$8,970.64 |
1.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$3,391.85 |
$8,479.63 |
0.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$2,298.18 |
$5,745.45 |
0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$2,978.54 |
$7,446.36 |
1.0× |
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure |
$1,653.19 |
$4,132.98 |
0.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$888.03 |
$2,220.07 |
0.3× |
| Ankle 2 views (73600) |
$164.25 |
$410.62 |
2.0× |
| Antegrade urography radiological supvj & interpj (74425) |
$256.39 |
$640.97 |
0.8× |
| Aortogram thoracic (75605) |
$4,562.98 |
$11,407.44 |
0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$2,636.03 |
$6,590.08 |
0.9× |
| Aortography abdominal serialography rs&i (75625) |
$2,507.16 |
$6,267.91 |
0.8× |
| Arthrogram hip (73525) |
$692.38 |
$1,730.96 |
2.1× |
| Arthrogram shoulder (73040) |
$868.66 |
$2,171.66 |
2.7× |
| Arthrography knee lt (73580) |
$1,110.36 |
$2,775.92 |
3.4× |
| Basic radiation dosimetry calculation (77300) |
$668.35 |
$1,670.88 |
5.3× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,173.12 |
$2,932.80 |
3.1× |
| Bone &/joint imaging whole body (78306) |
$2,311.53 |
$5,778.83 |
6.2× |
| Bone age studies (77072) |
$527.48 |
$1,318.68 |
5.4× |
| Bone Imaging 3 Phase (78315) |
$1,952.32 |
$4,880.80 |
5.2× |
| Bone survey complete (77075) |
$484.74 |
$1,211.84 |
4.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$1,378.62 |
$3,446.54 |
1.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) |
$930.09 |
$2,325.22 |
2.5× |
| Cervical spine 2 or 3 views (72040) |
$657 |
$1,642.50 |
8.0× |
| Chest 1 view (71045) |
$341.19 |
$852.97 |
4.2× |
| Chest 3 views (71047) |
$370.56 |
$926.42 |
4.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$475.40 |
$1,188.49 |
2.9× |
| Cineradiography/videoradiography (76120) |
$778.53 |
$1,946.32 |
7.9× |
| Clavicle complete (73000) |
$436 |
$1,090 |
5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$888.69 |
$2,221.74 |
9.1× |
| Continuing medical physics consltj pr wk (77336) |
$773.12 |
$1,932.79 |
6.1× |
| CT abdomen and pelvis without and with contrast (74178) |
$4,020.14 |
$10,050.37 |
12.3× |
| CT abdomen and pelvis without contrast (74176) |
$3,174.18 |
$7,935.46 |
14.2× |
| CT abdomen w contrast (74160) |
$1,834.80 |
$4,587 |
11.1× |
| CT abdomen w wo contrast (74170) |
$2,122.58 |
$5,306.44 |
12.9× |
| CT abdomen w/o contrast (74150) |
$1,652.52 |
$4,131.30 |
16.8× |
| CT angio hrt w/3d image (75574) |
$2,191.36 |
$5,478.38 |
6.7× |
| CT angiography upper extremity lt (73206) |
$2,145.28 |
$5,363.19 |
13.0× |
| CT c-spine w/o contrast (72125) |
$1,806.09 |
$4,515.22 |
18.4× |
| CT cervical spine w&w/o contrast (72127) |
$2,343.58 |
$5,858.96 |
14.2× |
| CT cervical spine with contrast (72126) |
$2,343.58 |
$5,858.96 |
7.2× |
| CT chest w/wo contrast (71270) |
$2,090.01 |
$5,225.02 |
12.7× |
| CT chest with contrast (71260) |
$1,849.74 |
$4,624.35 |
11.2× |
| CT head/brain with contrast (70460) |
$1,645.18 |
$4,112.96 |
10.0× |
| CT head/brain without and with contrast (70470) |
$1,961.67 |
$4,904.18 |
11.9× |
| CT heart no contrast quant eval coronry calcium (75571) |
$624.28 |
$1,560.72 |
7.6× |
| CT iac w contrast (70481) |
$2,629.36 |
$6,573.38 |
16.0× |
| CT limited/localized follow up study (76380) |
$1,091.67 |
$2,729.18 |
13.4× |
| CT lower ext w/o (73700) |
$1,504.30 |
$3,760.74 |
15.3× |
| CT lower extremity w wo contrast (73702) |
$1,643.85 |
$4,109.62 |
10.0× |
| CT lower extremity with contrast (73701) |
$1,473.60 |
$3,683.98 |
9.0× |
| CT lumbar spine w & w/o contrast (72133) |
$1,973.01 |
$4,932.52 |
12.0× |
| CT lumbar spine w/o contrast (72131) |
$1,790.06 |
$4,475.16 |
18.2× |
| CT lumbar spine with contrast (72132) |
$2,321.55 |
$5,803.86 |
7.1× |
| CT maxillofacial w contrast (70487) |
$3,608.84 |
$9,022.12 |
21.9× |
| CT maxillofacial w/o contrast (70486) |
$2,448.40 |
$6,121.02 |
25.0× |
| CT maxillofacial w/wo contrast (70488) |
$3,823.84 |
$9,559.61 |
23.2× |
| CT neck soft tissue w contrast (70491) |
$1,519.65 |
$3,799.13 |
9.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$3,248.97 |
$8,122.43 |
19.7× |
| CT orbits w/o contrast (70480) |
$2,409.02 |
$6,022.54 |
24.6× |
| CT pelvis w & w/o contrast (72194) |
$1,871.53 |
$4,678.83 |
11.4× |
| CT pelvis w/o contrast (72192) |
$1,518.99 |
$3,797.48 |
15.5× |
| CT scan for measuring calcium and other minerals in bone (77078) |
$624.28 |
$1,560.72 |
7.6× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,883.54 |
$4,708.86 |
11.4× |
| CT soft tissue neck w/o contrast (70490) |
$1,306 |
$3,264.99 |
13.3× |
| CT thoracic spine w/contrast (72129) |
$2,146.62 |
$5,366.54 |
13.0× |
| CT thoracic spine w/o contrast (72128) |
$1,651.86 |
$4,129.66 |
16.8× |
| CT thoracic spine w/wo contrast (72130) |
$2,146.62 |
$5,366.54 |
13.0× |
| CT thorax w/o contrast (71250) |
$1,539.69 |
$3,849.22 |
15.7× |
| CT upper extremity w/o & w/contrast material (73202) |
$3,009.31 |
$7,523.28 |
18.3× |
| CT upper extremity w/o contrast rt (73200) |
$2,885.08 |
$7,212.68 |
29.4× |
| CT upper extremity with contrast (73201) |
$3,009.31 |
$7,523.28 |
9.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,322.02 |
$3,305.06 |
8.0× |
| Cta Abdomen (74175) |
$1,245.91 |
$3,114.77 |
7.6× |
| CTA abdomen pelvis (74174) |
$1,648.52 |
$4,121.29 |
5.0× |
| CTA chest (71275) |
$2,270.14 |
$5,675.34 |
13.8× |
| Cta Head (70496) |
$2,224.06 |
$5,560.16 |
13.5× |
| CTA lwr ext w&w/o contrast (73706) |
$2,175.33 |
$5,438.32 |
13.2× |
| Cta Neck (70498) |
$2,302.18 |
$5,755.46 |
14.0× |
| Cta Pelvis (72191) |
$1,232.56 |
$3,081.38 |
7.5× |
| Cystography minimum 3 views rs&i (74430) |
$524.81 |
$1,312.02 |
1.6× |
| Diskography lumbar (72295) |
$2,655.60 |
$6,639.02 |
1.4× |
| Dxa bone density study 1/> sites axial skel (77080) |
$203.64 |
$509.10 |
2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$582.88 |
$1,457.21 |
7.1× |
| Dxa bone density study axial skeleton (77085) |
$226.56 |
$566.40 |
2.3× |
| Echoencephalography real time imaging (76506) |
$592.91 |
$1,482.27 |
6.0× |
| Esophageal motility (78258) |
$1,249.90 |
$3,124.77 |
3.3× |
| Esophagus (74220) |
$746.91 |
$1,867.28 |
4.5× |
| Fetal biophysical profile non-stress testing (76818) |
$636.30 |
$1,590.76 |
6.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$214.80 |
$536.99 |
2.2× |
| Fluoroscopy up to 1 hr (76000) |
$975.01 |
$2,437.53 |
4.4× |
| Foot 2 views (73620) |
$164.25 |
$410.62 |
2.0× |
| Forearm 2 views (73090) |
$464.04 |
$1,160.10 |
5.7× |
| Gated Heart Planar Single (78472) |
$2,129.25 |
$5,323.12 |
5.7× |
| Hand 2 views (73120) |
$164.25 |
$410.62 |
1.7× |
| Hand 3 views (73130) |
$515.46 |
$1,288.63 |
6.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$831.94 |
$2,079.86 |
1.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$831.94 |
$2,079.86 |
2.2× |
| Ht muscle image spect sing (78451) |
$2,095.20 |
$5,238.02 |
1.7× |
| Humerus Min 2 Views Left (73060) |
$434.66 |
$1,086.66 |
5.3× |
| Hysterosalpingogram (74740) |
$903.38 |
$2,258.44 |
4.0× |
| Kidney imaging morphology (78700) |
$1,437.52 |
$3,593.80 |
3.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,678.56 |
$4,196.40 |
3.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$2,037.78 |
$5,094.45 |
4.0× |
| Knee 3 views (73562) |
$474.72 |
$1,186.82 |
5.8× |
| Liver & spleen imaging static only (78215) |
$1,892.22 |
$4,730.57 |
5.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$2,187.35 |
$5,468.37 |
5.8× |
| Liver imaging w/vascular flow (78202) |
$2,187.35 |
$5,468.37 |
4.3× |
| Lung Ventilation Imaging (78579) |
$576.22 |
$1,440.54 |
1.5× |
| Lymphoscintigraphy (78195) |
$1,052.94 |
$2,632.36 |
2.1× |
| Meckels Diverticulum (78290) |
$718.43 |
$1,796.08 |
1.9× |
| Mlc imrt design & construction per imrt plan (77338) |
$8,828.94 |
$22,072.36 |
25.1× |
| MRA head w & w/o contrast (70546) |
$2,379.64 |
$5,949.09 |
7.3× |
| MRA head w/o contrast (70544) |
$2,210.72 |
$5,526.78 |
9.9× |
| MRA head with contrast (70545) |
$2,294.17 |
$5,735.43 |
7.0× |
| MRA neck w contrast (70548) |
$2,294.17 |
$5,735.43 |
7.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,379.64 |
$5,949.09 |
7.3× |
| MRA neck w/o contrast (70547) |
$2,210.72 |
$5,526.78 |
9.9× |
| MRI abdomen w contrast (74182) |
$2,884.41 |
$7,211.02 |
8.8× |
| MRI abdomen w/o & w/contrast material (74183) |
$2,969.21 |
$7,423.02 |
9.1× |
| MRI abdomen w/o contrast (74181) |
$2,918.78 |
$7,296.95 |
13.0× |
| MRI any jnt lwr ext with con lt (73722) |
$2,750.20 |
$6,875.50 |
3.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,750.20 |
$6,875.50 |
3.7× |
| MRI c-spine with contrast (72142) |
$2,664.07 |
$6,660.18 |
8.1× |
| MRI cervical spine w/o contrast (72141) |
$2,585.28 |
$6,463.20 |
11.5× |
| MRI chest w/o & w/contrast material (71552) |
$1,736.66 |
$4,341.64 |
5.3× |
| MRI chest w/o contrast (71550) |
$1,568.40 |
$3,920.98 |
7.0× |
| MRI chest with contrast (71551) |
$2,277.16 |
$5,692.91 |
3.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,750.20 |
$6,875.50 |
8.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$2,868.63 |
$7,171.58 |
8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,783.66 |
$6,959.15 |
12.4× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,850.28 |
$7,125.71 |
12.7× |
| MRI orbit/face/neck w&w/o cont (70543) |
$2,364.42 |
$5,911.04 |
7.2× |
| MRI orbit/face/neck w/contrast (70542) |
$2,278.75 |
$5,696.87 |
7.0× |
| MRI pelvis w contrast (72196) |
$2,884.41 |
$7,211.02 |
8.8× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,966.54 |
$7,416.34 |
9.1× |
| MRI pelvis w/o contrast (72195) |
$2,797.61 |
$6,994.02 |
12.5× |
| MRI scan of arm joint before and after contrast (73223) |
$2,709.08 |
$6,772.71 |
8.3× |
| MRI scan of leg joint before and after contrast (73723) |
$2,884.41 |
$7,211.02 |
8.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,837 |
$7,092.51 |
8.7× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,714.82 |
$6,787.06 |
8.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,798.28 |
$6,995.70 |
8.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,714.82 |
$6,787.06 |
8.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,798.28 |
$6,995.70 |
8.5× |
| MRI thoracic spine w/o contrast (72146) |
$2,632.69 |
$6,581.72 |
11.8× |
| MRI tmj (70336) |
$2,221.40 |
$5,553.48 |
9.9× |
| MRI upper ext joint w/o contrast (73221) |
$2,668.74 |
$6,384.54 |
11.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,830.99 |
$7,077.48 |
8.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,553.82 |
$6,384.54 |
11.4× |
| Myelogram Lumbar (72265) |
$1,217.86 |
$3,044.66 |
1.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) |
$1,538.22 |
$3,845.56 |
1.3× |
| Myocardial Spect Multiple Studies (78452) |
$4,186.40 |
$10,466 |
3.4× |
| Neck soft tissue (70360) |
$245.04 |
$612.60 |
3.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) |
$527.76 |
$1,319.40 |
1.4× |
| Nm cisternogram (78630) |
$1,052.94 |
$2,632.36 |
2.1× |
| Nm gastric emptying study (78264) |
$2,370.96 |
$5,927.40 |
6.3× |
| Nm red cell sequestration (78140) |
$1,473.60 |
$3,683.98 |
3.9× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$10,235.88 |
$25,589.71 |
7.9× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$1,991.04 |
$4,977.60 |
1.6× |
| Nuclear medicine of heart pumping function (78473) |
$2,243.42 |
$5,608.56 |
6.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) |
$1,328.03 |
$3,320.07 |
1.1× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$1,312 |
$3,280 |
2.6× |
| Nuclear Rx Oral Admin (79005) |
$578.22 |
$1,445.56 |
2.6× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$576.22 |
$1,440.54 |
5.9× |
| Osseous survey infant (77076) |
$266.41 |
$666.03 |
2.7× |
| Parathyroid imaging (78070) |
$806.57 |
$2,016.42 |
2.2× |
| Pelvis 1 or 2 views (72170) |
$292.46 |
$731.14 |
3.0× |
| PET image w/CT, skull-thigh (78815) |
$1,378.62 |
$3,446.54 |
1.0× |
| PET imaging CT for attenuation limited area (78814) |
$1,378.62 |
$3,446.54 |
1.0× |
| PET imaging for CT attenuation whole body (78816) |
$1,378.62 |
$3,446.54 |
1.0× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,952.90 |
$7,382.25 |
9.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$576.22 |
$1,440.54 |
1.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$900.70 |
$2,251.76 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$343.19 |
$857.98 |
0.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$202.31 |
$505.77 |
2.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$942.11 |
$2,355.28 |
9.6× |
| Radex hips bilateral with pelvis 2 views (73521) |
$324.50 |
$811.24 |
3.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$151.56 |
$378.90 |
1.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$606.26 |
$1,515.64 |
6.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$7,704.38 |
$19,260.96 |
1.1× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$946.26 |
$2,365.65 |
1.8× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$710.50 |
$1,776.24 |
7.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$828.70 |
$2,071.74 |
2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$581.55 |
$1,453.88 |
5.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$310.62 |
$776.55 |
3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$381.92 |
$954.78 |
3.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$286.44 |
$716.10 |
3.5× |
| Radiologic exam colon single contrast study (74270) |
$1,414.83 |
$3,537.08 |
8.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$743.36 |
$1,858.40 |
4.5× |
| Radiologic exam upr gi trc double contrast study (74246) |
$932.09 |
$2,330.22 |
5.7× |
| Radiologic exam upr gi trc single contrast study (74240) |
$932.09 |
$2,330.22 |
5.7× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$451.36 |
$1,128.39 |
5.5× |
| Radiological examination surgical specimen (76098) |
$335.68 |
$839.21 |
0.7× |
| Ribs bilateral 3 views (71110) |
$167.26 |
$418.14 |
1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$1,986.38 |
$4,965.94 |
5.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,313.54 |
$5,783.84 |
4.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$2,083.04 |
$5,207.62 |
4.1× |
| Scapula complete (73010) |
$448.68 |
$1,121.70 |
4.6× |
| Screening digital breast tomosynthesis (77063) |
$49.45 |
$123.62 |
2.1× |
| Sella turcica (70240) |
$231.69 |
$579.22 |
2.8× |
| Sialogram (70390) |
$1,546.36 |
$3,865.90 |
6.9× |
| Simulation intermediate (77285) |
$1,338.05 |
$3,345.12 |
3.8× |
| Small bowel series (74250) |
$922.74 |
$2,306.86 |
5.6× |
| Spec medical radj physics consltj (77370) |
$854.90 |
$2,137.25 |
6.8× |
| Special treatment procedure (77470) |
$859.60 |
$2,149 |
1.7× |
| Spine thoracic 3 views (72072) |
$276.42 |
$691.06 |
2.8× |
| Spleen imaging only (78185) |
$1,193.16 |
$2,982.90 |
3.2× |
| Stereotactic body radiation delivery (77373) |
$4,110.36 |
$10,275.90 |
2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$845.30 |
$2,113.24 |
2.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$540.16 |
$1,350.40 |
1.5× |
| Testicular Imaging With Vascular Flow (78761) |
$729.12 |
$1,822.80 |
1.9× |
| Ther rad simulaj-aided field setting complex (77290) |
$1,588.43 |
$3,971.08 |
4.5× |
| Ther rad simulaj-aided field setting simple (77280) |
$628.96 |
$1,572.41 |
5.0× |
| Therapeutic Enema (74283) |
$1,254.58 |
$3,136.46 |
7.6× |
| Thoracolumbar 2 views (72080) |
$457.36 |
$1,143.42 |
5.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$852.64 |
$2,131.58 |
1.7× |
| Thyroid Imaging With Vascular Flow (78013) |
$1,084.32 |
$2,710.82 |
2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$638.98 |
$1,597.43 |
1.7× |
| Tomogram (76100) |
$492.09 |
$1,230.22 |
5.0× |
| Treatment device intermediate (77333) |
$719.10 |
$1,797.74 |
5.7× |
| Treatment devices simple (77332) |
$498.10 |
$1,245.24 |
3.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,980.56 |
$7,451.40 |
5.9× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) |
$1,173.12 |
$2,932.80 |
3.1× |
| Tx devices design & construction complex (77334) |
$1,456.22 |
$3,640.56 |
4.1× |
| Ultrasound, abdomen limited (76705) |
$912.74 |
$2,281.84 |
9.3× |
| Upper Extremity Infant (73092) |
$176.94 |
$442.34 |
1.8× |
| Urethrocystography retrograde rs&i (74450) |
$706.42 |
$1,766.04 |
3.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,538.36 |
$3,845.88 |
9.3× |
| Us abdl aorta screen aaa (76706) |
$206.51 |
$516.27 |
2.1× |
| Us breast unilateral complete (76641) |
$525.47 |
$1,313.68 |
5.4× |
| Us breast unilateral limited (76642) |
$525.47 |
$1,313.68 |
6.4× |
| Us chest (76604) |
$581.55 |
$1,453.88 |
5.9× |
| Us compl joint r-t w/image documentation (76881) |
$518.84 |
$1,297.11 |
5.3× |
| Us guided compression repair (76936) |
$1,048.94 |
$2,622.34 |
5.2× |
| Us infant hips dynamic (76885) |
$746.48 |
$1,866.19 |
9.1× |
| Us ob transvaginal (76817) |
$791.88 |
$1,979.69 |
8.1× |
| Us pelvic non ob complete (76856) |
$1,019.74 |
$2,549.35 |
10.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$497.42 |
$1,243.56 |
5.1× |
| Us pregnancy ltd (76815) |
$757.78 |
$1,894.44 |
7.7× |
| Us retroperitoneal complete (76770) |
$979.89 |
$2,449.72 |
10.0× |
| Us retroperitoneal limited (76775) |
$863.84 |
$2,159.60 |
8.8× |
| Us scrotum and contents (76870) |
$858.64 |
$2,146.62 |
8.8× |
| Us soft tissue head/neck (76536) |
$1,011.23 |
$2,528.07 |
10.3× |
| Us spinal canal and contents (76800) |
$541.50 |
$1,353.74 |
5.5× |
| Us xtr non-vasc lmtd (76882) |
$230.54 |
$576.34 |
2.4× |
| Vascular flow imaging (78445) |
$1,052.94 |
$2,632.36 |
2.8× |
| Venogram extremity bilateral (75822) |
$2,186.44 |
$5,466.10 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$2,242.09 |
$5,605.24 |
0.8× |
| Venography caval superior serialography rs&i (75827) |
$1,310.01 |
$3,275.02 |
0.9× |
| Venography extremity unilateral rs&i (75820) |
$1,087.85 |
$2,719.62 |
0.7× |
| Venography Renal Bilateral (75833) |
$1,792.07 |
$4,480.18 |
0.6× |
| Venography renal unilateral selective rs&i (75831) |
$1,792.07 |
$4,480.18 |
0.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$1,501.62 |
$3,754.07 |
0.5× |
Venous sampling thru cath w/wo angiography rs& (75893)
unusually low: confirm this is the full procedure |
$1,881.54 |
$4,703.86 |
0.4× |
| Vertebral fracture assessment via dxa (77086) |
$149.56 |
$373.91 |
1.8× |
| Wrist 2 views (73100) |
$164.25 |
$410.62 |
2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$772.51 |
$1,931.28 |
7.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$564.20 |
$1,410.48 |
6.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$510.78 |
$1,276.95 |
6.3× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,459.57 |
$3,648.92 |
8.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$375.92 |
$939.79 |
4.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$375.92 |
$939.79 |
4.6× |
| X-ray exam entire spi 4/5 vw (72083) |
$581.55 |
$1,453.88 |
5.9× |
| X-ray exam hip uni 1 view (73501) |
$211.02 |
$527.55 |
2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$290.08 |
$725.21 |
3.6× |
| X-ray exam hip uni 4/> views (73503) |
$324.50 |
$811.24 |
3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$363.22 |
$908.06 |
3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$383.92 |
$959.81 |
3.9× |
| X-ray exam of femur 1 (73551) |
$424.65 |
$1,061.62 |
5.2× |
| X-ray eye for foreign body (70030) |
$273.08 |
$682.71 |
3.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$581.55 |
$1,453.88 |
5.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$177.61 |
$444.02 |
2.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$523.47 |
$1,308.68 |
6.4× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$1,153.10 |
$2,882.74 |
0.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$405.28 |
$1,013.21 |
5.0× |
| X-ray IV pyelogram+drip infusn (74410) |
$1,308.67 |
$3,271.68 |
8.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$497.42 |
$1,243.56 |
5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$566.87 |
$1,417.16 |
6.9× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$176.94 |
$442.34 |
2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$701.07 |
$1,752.68 |
7.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$741.80 |
$1,854.49 |
7.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$130.20 |
$325.50 |
1.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$504.76 |
$1,261.92 |
6.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$457.36 |
$1,143.42 |
5.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$541.50 |
$1,353.74 |
5.5× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$372.58 |
$931.44 |
3.8× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) |
$551.51 |
$1,378.78 |
1.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$719.77 |
$1,799.42 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$111.50 |
$278.76 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$398.60 |
$996.51 |
4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$518.13 |
$1,295.32 |
5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$337.85 |
$844.63 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$458.04 |
$1,145.10 |
5.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$486.23 |
$1,215.57 |
6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$667.02 |
$1,667.56 |
8.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$696.40 |
$1,741.01 |
7.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$632.96 |
$1,582.41 |
6.5× |
| X-Ray Spine One View - Xr Spine (72020) |
$443.78 |
$1,109.47 |
5.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$219 |
$547.50 |
2.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$458.04 |
$1,145.10 |
5.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$233.02 |
$582.56 |
2.4× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$607.60 |
$1,518.98 |
6.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$257.73 |
$644.32 |
3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$523.47 |
$1,308.68 |
6.4× |
| Xr c-spine 6 or more views (72052) |
$771.18 |
$1,927.95 |
7.9× |
| Xr chest 4+ views (71048) |
$460.71 |
$1,151.77 |
4.7× |
| Xr Cholecystography Oral Contrast (74290) |
$62.76 |
$156.92 |
0.4× |
| Xr finger(s) 2+ views (73140) |
$345.20 |
$862.99 |
4.2× |
| Xr internal auditory meati complete (70134) |
$389.26 |
$973.16 |
0.8× |
| Xr shoulder 1 view (73020) |
$118.18 |
$295.46 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$699.73 |
$1,749.33 |
7.1× |
| Xr tibia/fibula 2 views (73590) |
$475.40 |
$1,188.49 |
5.8× |
| Xr tmj bilateral (70330) |
$527.48 |
$1,318.68 |
6.5× |
| Xray knee 1 or 2 views rt (73560) |
$146.99 |
$367.46 |
1.8× |